Resources and Services Database of the National Prevention Information Network

Forms and Documents

Document Name	Status
Form 0920-0255 Resources and Services Database of the CDC National Prevention Information Network - Initial Questionnaire Telephone Script: Registered Nurses Form and Instruction	Modified
Form 0920-0255 Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Social and Community Service Managers Form and Instruction	Modified
Form 0920-0255 Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Registered Nurses, Health Educators, and Social and Human Service Assistants Form and Instruction	Modified
Form 0920-0255 Social and Human Service Assistants Form and Instruction	Modified
Form 3 Resources and Services Database of the CDC National Prevention Information Network - Telephone Verification: Health Educators Form	Removed
Form 3 Resources and Services Database of the CDC National Prevention Information Network - Telephone Verification: Social and Community Service Managers Form	Removed
Form 0920-0255 Resources and Services Database of the CDC National Prevention Information Network - Telephone Verification: Registered Nurses, Social and Community Service Managers, and Health Educators Form and Instruction	Modified
Resources and Services Database of the CDC National Prevention Information Network - Initial Questionnaire Telephone Script: Social and Human Service Assistants Form and Instruction	Modified
Resources and Services Database of the CDC National Prevention Information Network - Initial Questionnaire Telephone Script: Social and Community Service Managers Form and Instruction	Modified
Form 0920-0255 Resources and Services Database of the CDC National Prevention Information Network - Initial Questionnaire Telephone Script: Health Educators Form and Instruction	Modified
Support B.docx Supporting Statement B	2013-11-12
Att6B_ScreenShotsUpdatingExistingRecord.docx Supplementary Document	2013-11-20
Att6A_ScreenShotsAddingNewRecord.docx Supplementary Document	2013-11-20
Final_0920_0255_2010_att6_sample_NPIN_res_serv_db_record.docx Supplementary Document	2010-11-08
Final_0920_0255_2010_att5_email_verification_instructions.docx Supplementary Document	2010-11-08
Final_0920_0255_2010_att4_email_verification_message.docx Supplementary Document	2010-11-08
Final_0920_0255_2010_att6_sample_NPIN_res_serv_db_record.docx Supplementary Document	2010-11-08
Final_0920_0255_2010_att5_email_verification_instructions.docx Supplementary Document	2010-11-08
Final_0920_0255_2010_att4_email_verification_message.docx Supplementary Document	2010-11-08
Supporting Stmt A.docx Supporting Statement A	2013-11-12

IC Document Collections

IC ID	Document Title	Status
6708	Resources and Services Database of the CDC National Prevention Information Network - Initial Questionnaire Telephone Script: Registered Nurses Form and Instruction	Modified
195473	Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Social and Human Service Assistants	Removed
195472	Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Health Educators	Modified
195471	Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Social and Community Service Managers Form and Instruction	Modified
178811	Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Registered Nurses, Health Educators, and Social and Human Service Assistants Form and Instruction	Modified
178810	Social and Human Service Assistants Form and Instruction	Modified
178809	Resources and Services Database of the CDC National Prevention Information Network - Telephone Verification: Health Educators Form	Removed
178808	Resources and Services Database of the CDC National Prevention Information Network - Telephone Verification: Social and Community Service Managers Form	Removed
178807	Resources and Services Database of the CDC National Prevention Information Network - Telephone Verification: Registered Nurses, Social and Community Service Managers, and Health Educators Form and Instruction	Modified
178806	Resources and Services Database of the CDC National Prevention Information Network - Initial Questionnaire Telephone Script: Social and Human Service Assistants Form and Instruction	Modified
178805	Resources and Services Database of the CDC National Prevention Information Network - Initial Questionnaire Telephone Script: Social and Community Service Managers Form and Instruction	Modified
178804	Resources and Services Database of the CDC National Prevention Information Network - Initial Questionnaire Telephone Script: Health Educators Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0255	ICR Reference No: 201311-0920-017
Status: Historical Active	Previous ICR Reference No: 201011-0920-008
Agency/Subagency: HHS/CDC	Agency Tracking No: 20939
Title: Resources and Services Database of the National Prevention Information Network
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/30/2013
	Date Received in OIRA: 11/26/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2016	36 Months From Approved	01/31/2014
Responses	11,700	0	15,887
Time Burden (Hours)	1,932	0	2,599
Cost Burden (Dollars)	0	0	0

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Abstract: The National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP) requests a 3-year approval for revisions to the previously approved information collection entitled, "Resources and Services Database of the National Prevention Information Network", (formerly known as the National AIDS Clearinghouse) of the Centers for Disease Control and Prevention (CDC) (OMB Control No. 0920-0255).This information collection expires on January 31, 2014.

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Authorizing Statute(s): PL: Pub.L. 100 - 607 301 Name of Law: Public Law
   US Code: 42 USC 241 Name of Law: Public Health Service
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 40481	07/05/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 68846	11/15/2013
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 9

IC Title	Form No.	Form Name
Resources and Services Database of the CDC National Prevention Information Network - Initial Questionnaire Telephone Script: Registered Nurses	0920-0255, 0920-0255	Att3A_Initial_Res_Org_Quest ,   Att3B_initial_quest_tele_scriptClean
Resources and Services Database of the CDC National Prevention Information Network - Initial Questionnaire Telephone Script: Health Educators	0920-0255, 0920-0255	Att3A_Initial_Res_Org_Quest ,   Att3B_initial_quest_tele_scriptClean
Resources and Services Database of the CDC National Prevention Information Network - Initial Questionnaire Telephone Script: Social and Community Service Managers	None, 0920-0255, 0920-0255	Appendix E: Annual update request (Telephone) ,   Att3A_Initial_Res_Org_Quest ,   Att3B_initial_quest_tele_scriptClean
Resources and Services Database of the CDC National Prevention Information Network - Initial Questionnaire Telephone Script: Social and Human Service Assistants	None, 0920-0255, 0920-0255	Appendix F: Annual update Request (E-Mail) ,   Att3A_Initial_Res_Org_Quest ,   Att3B_initial_quest_tele_scriptClean
Resources and Services Database of the CDC National Prevention Information Network - Telephone Verification: Registered Nurses, Social and Community Service Managers, and Health Educators	0920-0255	Att3C_tele_verification_script
Social and Human Service Assistants	0920-0255	Att3C_tele_verification_script
Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Registered Nurses, Health Educators, and Social and Human Service Assistants	0920-0255, 0920-0255, 0920-0255	Att4A_email_verification_messageTrack ,   Att5_email_verification_instructionsClean ,   Att5A_email_verification_instructionsTrack
Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Social and Community Service Managers	0920-0255, 0920-0255, 0920-0255, 0920-0255	Att4 Email_verification_message ,   Att4A_email_verification_messageTrack ,   Att5_email_verification_instructionsClean ,   Att5A_email_verification_instructionsTrack
Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Health Educators
Resources and Services Database of the CDC National Prevention Information Network - Telephone Verification: Health Educators	3	Telephone Verification Sript
Resources and Services Database of the CDC National Prevention Information Network - Email Verification: Social and Human Service Assistants
Resources and Services Database of the CDC National Prevention Information Network - Telephone Verification: Social and Community Service Managers	3	Telephone Verification Script

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	11,700	15,887	0	-3,800	-387	0
Annual Time Burden (Hours)	1,932	2,599	0	-634	-33	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Forms

Short Statement: The only changes to the survey involve the number of organizations surveyed and a reduction in the number of registered nurses that must be surveyed. Previously, 200 new organizations to be added were surveyed, 10,000 organizations were surveyed for updated information, and 60% of organizations required input from a registered nurse and another health professional. Under this request, the number of new organizations has increased to 500 (CDC programmatic change); while the number of updated organizations has dropped to 9,000 (elimination of organizations that no longer offer services)

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Annual Cost to Federal Government: $764,100

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/26/2013

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